Routine inspection·December 1, 2022

Licensing Program Analyst (LPA) Cynthia Chan conducted the required annual inspection with the focus of the infection control domain. Program Clinical Consultants (PCC) Toni Rivera and Anna Guinto were also present for the visit. LPA met with Caregiver, Queen Alimario, and explained the purpose for the visit. The facility is approved for six (6) non-ambulatory adults, age 60 and over. There are currently 5 residents residing at the home. A tour of the facility was conducted and the following were observed: * There are 4 bedrooms (3 Client bedrooms and 1 vacant), 2 bathrooms, living room, dining area, kitchen, and an attached garage which is occupied by the live-in caregivers. There are no bodies of water at the premises. * The facility has proper Coronavirus (COVID-19) signage inside the home but not at the front door. Hand washing signs are posted in each of the bathrooms and sink. However, LPA recommended to enlarge hand washing posters inside the bathrooms and to add signage at the front door. * Upon arrival, LPA and PCCs did not observe Staff wearing face masks until it was requested. Staff took the temperature of visitors and documented on a log but did not properly screen for COVID-19 symptoms. * Sufficient PPE supplies such as N95, surgical masks, and gloves are stored at the facility. * Food supplies for 2 day perishable and a week of non-perishable were observed. * Knives and sharps are stored and locked under a cabinet in the kitchen. * Extra cleaning supplies and soaps are stored in the vacant client bedroom which is locked. * Medications are centrally stored and locked. LPA provided technical advisories for the following: * clean/disinfect high touch surfaces at least once a day. * enlarge poster inside the bathrooms and to add COVID-19 signage at the front door. Deficiencies cited are provided on the LIC809D. An exit interview was conducted. A copy of this report, LIC809D, and appeal rights were given to Staff Alimario.